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Provider 1154306231

NPI: 1154306231Share
Active Billing Period:2018-01→2023-08(67 months)
Billing appears to have stoppedLast active: 2023-08

Total Paid

$13.4M

$13,350,136

Total Claims

39K

Beneficiaries

36K

1.1 claims/patient

Avg Cost/Claim

$347

Monthly Spending Trend

Yearly Spending

2018
$6.9M
-33%
2019
$4.6M
-68%
2020
$1.5M
-75%
2021
$373K
-98%
2022
$9K
-100%
2023
$0

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (A9276 (Breath test analyzer, FDA approved, disposable)) accounts for 50% of total spending.

A9276Top 5%

Breath test analyzer, FDA approved, disposable

$6.7M

7,300 claims · 50.5%

Your Cost: $923.41/claim|Median: $294.58
3.1× median
Z5999Normal range

$1.7M

4,101 claims · 12.4%

Your Cost: $404.68/claim|Median: $373.86
1.1× median
A4230Top 25%

Infusion supplies, non-chemotherapy, per visit

$1.6M

6,693 claims · 12.2%

Your Cost: $242.51/claim|Median: $136.09
1.8× median
A9277Top 1%

Breath alcohol test, per administration

$1.1M

1,540 claims · 8.2%

Your Cost: $708.03/claim|Median: $407.76
1.7× median
E0784Normal range

External ambulatory infusion pump, insulin

$803K

1,244 claims · 6.0%

Your Cost: $645.47/claim|Median: $1,188.30
0.5× median
A4232Top 25%

$499K

6,619 claims · 3.7%

Your Cost: $75.34/claim|Median: $34.49
2.2× median
A9278Top 5%

$348K

559 claims · 2.6%

Your Cost: $622.55/claim|Median: $366.50
1.7× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$327K

3,352 claims · 2.4%

Your Cost: $97.51/claim|Median: $53.20
1.8× median
A9274Normal range

External ambulatory insulin delivery system, disposable

$128K

283 claims · 1.0%

Your Cost: $450.91/claim|Median: $466.16
1.0× median
K0554Normal range

$54K

395 claims · 0.4%

Your Cost: $137.33/claim|Median: $77.38
1.8× median
A6257Top 25%

$41K

1,778 claims · 0.3%

Your Cost: $23.18/claim|Median: $10.48
2.2× median
A4245Top 25%

$9K

860 claims · 0.1%

Your Cost: $10.15/claim|Median: $2.33
4.4× median
A4224Normal range

$8K

280 claims · 0.1%

Your Cost: $27.08/claim|Median: $33.51
0.8× median
A5120Normal range

$7K

1,768 claims · 0.1%

Your Cost: $3.88/claim|Median: $6.35
0.6× median
A4456Normal range

$6K

1,538 claims · 0.0%

Your Cost: $4.01/claim|Median: $6.74
0.6× median
99429Top 1%

$5K

14 claims · 0.0%

Your Cost: $369.51/claim|Median: $28.58
12.9× median
A4225Normal range

$2K

147 claims · 0.0%

Your Cost: $13.68/claim|Median: $22.71
0.6× median
K0601Normal range

$17

15 claims · 0.0%

Your Cost: $1.11/claim|Median: $1.59
0.7× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $73.75
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